DONALD EDWARD ROMSA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

DONALD EDWARD

Last Name

ROMSA

Suffix

DDS

Business Name

DONALD EDWARD ROMSA DDS

Original Issue Date

03/28/2008

Effective Date

09/29/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60604

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012